An Analysis of Global Fund Grant Ratings

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An independent watchdog of the Global Fund, and publisher of Global Fund Observer P.O. Box 66869-00800, Nairobi, Kenya Office: +254-(0)20-445-4321 Fax: +254-(0)20-444-0880 Email: info@aidspan.org Web: www.aidspan.org An Aidspan Report 3 November 2008 by Bernard Rivers Copyright November 2008 by Aidspan. All rights reserved.

Table of Contents Preface...3 Executive Summary...5 Section 1: Background...7 Ratings...7 PR types... 7 Aidspan s scoring system... 8 Section 2: Analysis...9 Division of grants between the different types of PR... 9 Table 1: Division of grants between the different types of PR...9 Performance by type of PR... 10 Table 2: Average for each broad category of PR (2006-2008)...10 Table 3: Average for each PR type (2006-2008)...11 Table 4: Average for each PR type, by year...12 Performance by region and disease... 13 Table 5: Average for each region, by year...13 Table 6: Average for each disease, by year...14 Performance by country and PR... 15 Table 7: Average for each country (2006-2008)...15 Table 8: Highest and lowest ranked countries (2006-2008)...18 Table 9: Highest and lowest ranked PRs (2006-2008)...19 Table 10: Grants that have recently done well...20 Appendix: Additional details...22 Additional data regarding performance by each country and PR... 22 Table 11: Average for each country, with rating details (2006-2008)...22 Table 12: Highest and lowest ranked countries, with rating details (2006-2008)...29 Table 13: Average for each country and PR, with rating details (2006-2008)...31 Table 14: Highest and lowest ranked PRs, with rating details (2006-2008)...42 Table 15: Grants that have recently done well, with rating details...44 Performance by specific international and non-international NGOs... 45 Table 16: Average for each international NGO, with rating details (2006-2008)...45 Table 17: Average for each non-international NGO, with rating details (2006-2008)...47 Performance by UNDP... 48 Table 18: Average for each PR type, in countries where UNDP operates (2006-2008)...49 An Aidspan Report 3 November 2008 Page 2

Aidspan Preface Aidspan is a non-governmental organization originally based in New York, USA, but since mid-2007 based in Nairobi, Kenya. Its mission is to reinforce the effectiveness of the Global Fund to Fight AIDS, Tuberculosis and Malaria. Aidspan performs this mission by serving as an independent watchdog of the Fund, and by providing services that can benefit all countries wishing to obtain and make effective use of Global Fund financing. Aidspan also publishes the Global Fund Observer (GFO) newsletter, an independent emailbased source of news, analysis and commentary about the Global Fund. To receive GFO at no charge, send an email to receive-gfo-newsletter@aidspan.org. The subject line and text area can be left blank. Aidspan finances its work primarily through grants from foundations. Aidspan does not accept Global Fund money, perform paid consulting work for specific countries, or charge for any of its products. Aidspan and the Global Fund maintain a positive working relationship, but have no formal connection. The board and staff of the Global Fund have no influence on, and bear no responsibility for, the content of this report or of any other Aidspan publication. Acknowledgements, permissions, feedback Aidspan thanks its funders for the support they have provided for 2003-2008 operations The Monument Trust, Dr. Albert and Mrs. Monique Heijn, the Open Society Institute, Irish Aid, the Foundation for the Treatment of Children with AIDS, Merck & Co., UNAIDS, Anglo American, the Glaser Progress Foundation, the John M. Lloyd Foundation, the MAC AIDS Fund, GTZ, and two private donors. Permission is granted to reproduce, print, or quote from this report, in whole or in part, if the following is stated: "Reproduced from the Aidspan report 'An Analysis of Global Fund Grant Ratings,' available at www.aidspan.org/aidspanpublications." Readers are invited to email Bernard Rivers (rivers@aidspan.org), Executive Director of Aidspan and author of this report, with questions, comments, or suggestions for improvements. Aidspan publications This report is one of over a dozen free Aidspan publications written for those applying for, implementing, or supporting grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund). The following is a partial list of Aidspan's publications. Global Fund Observer: A free email newsletter providing news, analysis and commentary to nearly 8,000 subscribers in 170 countries. (96 issues over the past five years; currently in English only.) Aidspan Report: Do Global Fund Grants Work for Women? An Assessment of the Gender Responsiveness of Global Fund-Financed Programmes in Sub- Saharan Africa (July 2008; available in English only) Aidspan White Paper: Scaling Up to Meet the Need: Overcoming barriers to the development of bold Global Fund-financed programs (April 2008; available in English only) An Aidspan Report 3 November 2008 Page 3

Aidspan White Paper: Providing Improved Technical Support to Enhance the Effectiveness of Global Fund Grants (March 2008; available in English only) The Aidspan Guide to Round 8 Applications to the Global Fund Volume 1: Getting a Head Start (January 2008; available in English, French and Spanish) The Aidspan Guide to Round 8 Applications to the Global Fund Volume 2: The Applications Process and the Proposal Form (March 2008; available in English, French and Spanish) Aidspan Documents for In-Country Submissions (December 2007; available in English, French, Spanish and Russian) The Aidspan Guide to Building and Running an Effective Country Coordinating Mechanism (CCM) (Second edition September 2007; available in English, French and Spanish) The Aidspan Guide to Understanding Global Fund Processes for Grant Implementation Volume 1: From Grant Approval to Signing the Grant Agreement (December 2005; originally titled The Aidspan Guide to Effective Implementation of Global Fund Grants. Available in English only.) The Aidspan Guide to Understanding Global Fund Processes for Grant Implementation Volume 2: From First Disbursement to Phase 2 Renewal (November 2007; available in English, French and Spanish) The Aidspan Guide to Developing Global Fund Proposals to Benefit Children Affected by HIV/AIDS (May 2006; available in English only) The Aidspan Guide to Obtaining Global Fund-Related Technical Assistance (January 2004; available in English only) Downloads To download a copy of any of these publications, go to www.aidspan.org. If you do not have access to the web but you do have access to email, send a request to publications@aidspan.org specifying which publications you would like to receive as attachments to an email. Aidspan does not produce or distribute printed copies of these publications. An Aidspan Report 3 November 2008 Page 4

Executive Summary The Global Fund to Fight AIDS, Tuberculosis and Malaria specifies, as a core part of its philosophy, its belief in performance-based funding. To facilitate this, each time the Fund receives a request from a principal recipient (PR) for a new disbursement of grant money, the Fund provides a rating of the PR s recent work, which is always one of the following: A rating: Meeting or exceeding expectations. B1 rating: Adequate B2 rating: Inadequate but potential demonstrated C rating: Unacceptable Any rating other than A therefore means that the grant is not meeting expectations. The Global Fund does not make its grant easily available to members of the public, and has not published any report analyzing these. In an effort to fill this gap, Aidspan has conducted an analysis of the 1,934 grant that the Fund has provided over the past three years. To help with this, Aidspan has assigned a to each rating, as follows: A rating: Score of 100 B1 rating: Score of 60 B2 rating: Score of 30 C rating: Score of 0 Based on this scoring system, Aidspan has computed average s for all grants, PRs and countries. In cases where average s have been computed based on only a small number of, e.g. for individual grants or for PRs or countries that have only one grant, small differences between average s (e.g. between 66 and 68) should not be regarded as statistically significant. And of course, the GF s are not a perfect measure of grant effectiveness and progress, and thus, nor are Aidspan s s. All grants have been analyzed according to whether the PR is: Civil Society/Private: Faith-Based Org. (FBO) Civil Society/Private: International NGO Civil Society/Private: Non-International NGO Civil Society/Private: Other Civil Society/Private: Private sector Government: Ministry of Finance Government: Ministry of Health Government: Other Multilateral: Other Multilateral: UNDP The key finding of this report is as follows: Global Fund grants have shown distinct improvements in performance over the past three years. Each year, International NGOs have performed significantly better, on average, than any other PR type. Non-international NGOs have performed slightly less well, on average, than Ministries of Health, but they have steadily improved, from being the least well-performing PR type (out of ten) in 2006, to being the second best in 2008. Overall, Ministries of Finance have been the least well-performing PR type, and UNDP the second least well-performing. Other important findings include the following: 1. Within the countries where UNDP serves as PR (which are usually difficult countries), UNDP has performed no better or worse than have other PRs, on average. Within those countries, the best-performing PR type has been international NGOs. An Aidspan Report 3 November 2008 Page 5

2. Grants in the Eastern Europe & Central Asia region performed significantly better, on average, than grants in any other region. 3. The Sub-Saharan Africa: Southern Africa region was the second least wellperforming region (out of eight) in 2006, and the least well-performing in 2007 and 2008. 4. The Latin America & the Caribbean region improved from being the least wellperforming region in 2006 to being the second best-performing in 2007 and 2008. 5. The ten highest-ranked countries in terms of average grant performance, beginning with the best, were: #1 Bulgaria; #2 Multi-country Africa (RMCC); #3 Bhutan; #4 Rwanda; #5 Mongolia; #6 El Salvador; #7 Jamaica; #8 Armenia; #9 Ghana; and #10 Georgia. 6. The ten lowest-ranked countries in terms of average grant performance, beginning with the lowest-ranked, were: #114 Timor-Leste; #113 Papua New Guinea; #112 Algeria; #111 Turkey; #110 Kenya; #109 Congo (Republic of the); #108 Uganda; #107 Bolivia; #106 Guinea-Bissau; and #105 Mozambique. 7. The ten highest-ranked PRs in terms of average grant performance, beginning with the best, were: #1 El Salvador Ministry of Health; #2 Russian Federation Partners In Health; #3 Russian Federation Open Health Institute; #4 Armenia World Vision International; #5 Bulgaria Ministry of Health; #6 Nigeria Association For Reproductive And Family Health; #7 Nepal Population Services International; #8 Multi-country Africa (RMCC) South African Medical Research Council; #9 South Africa Provincial Health Department of the Western Cape; and #10 Bhutan Gross National Happiness Commission. 8. Of the 27 grants where at least the five most recent have all been A, 9 had Ministry of Health PRs, 6 had PRs that were Government: Other, 5 had international NGO PRs, 4 had UNDP PRs, 2 had non-international NGO PRs, and 1 had a private sector PR. Further details regarding all these findings are found in Section 2 and in the Appendix. Tables in the Appendix include data on every rating that the Fund has provided to every PR. An Aidspan Report 3 November 2008 Page 6

Section 1: Background Ratings The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund, Fund, or GF) specifies, as a core part of its philosophy, its belief in performance-based funding. This means, in essence, that the Fund will not continue to finance a programme if that programme consistently and significantly fails to deliver the kind of results that were specified in the original grant agreement. To facilitate this, the Fund has put in place a system for evaluating grant performance. Each time the Fund receives a request from a principal recipient (PR) for a new disbursement of grant money, the Fund carries out an evaluation of the work that has been done by the PR and, by implication, by its Sub-Recipients since the previous disbursement. The Fund then provides a rating, which is always one of the following: A rating: Meeting or exceeding expectations. B1 rating: Adequate B2 rating: Inadequate but potential demonstrated C rating: Unacceptable This means that if a grant gets any rating other than A, the only conclusion one can draw is that the Fund believes that the grant is not achieving agreed targets. At the GF website, despite the Fund s admirably positive attitude regarding transparency, it is very hard to find out what have been awarded. It is possible to generate a fairly readable spreadsheet report that includes the most recent rating for any grant. But the only place that shows all (or nearly all) for any grant is in a highly technical and hard-toread spreadsheet at www.theglobalfund.org/en/files/grantsindetail_raw.xls. That spreadsheet, which is regularly updated, appears to show nearly all that have been awarded by the Fund. The it does not show are a few that were awarded prior to November 2005, and awarded when a disbursement was requested but no disbursement was made. These missing are sometimes shown in the Fund s Grant Performance Reports (GPRs). However, GPRs are only occasionally updated, and thus often do not include the most recent disbursements and. The Fund has not published any report analyzing these. In an effort to fill this gap, Aidspan has conducted an analysis of the 1,934 that are contained in the abovementioned grantsindetail_raw.xls file, as downloaded on 28 October 2008. These cover the three-year period November 2005 through October 2008, referred to hereafter for simplicity as 2006 to 2008. PR types The Global Fund has categorized each PR as belonging to one of the following PR types: 1 Civil Society / Private Sector: Faith-Based Organization (FBO) Civil Society / Private Sector: Non-Governmental Organization (NGO) Civil Society / Private Sector: Other 2 1 Aidspan has not modified the GF s allocation of specific PRs to these PR types. Thus, we have not done anything about the anomalies whereby (a) World Vision is listed by the Fund as an NGO rather than as an FBO, and (b) Catholic Relief Services is sometimes listed as an FBO and sometimes as an NGO. 2 The four organizations categorized by the GF as CS / Private: Other are Fundação Ataulpho de Paiva [Brazil], Fundação Para O Desenvolvimento Científico E Tecnológico Em Saúde (FIOTEC) [Brazil], An Aidspan Report 3 November 2008 Page 7

Civil Society / Private Sector: Private sector Government: Ministry of Finance (MOF) Government: Ministry of Health (MOH) Government: Other than MOF and MOH Multilateral Organization: other than UNDP 3 Multilateral Organization: United Nations Development Programme (UNDP) Aidspan has taken this one step further, and has divided the Civil Society / Private Sector: NGO category into two subgroups: Civil Society / Private Sector: International NGO and Civil Society / Private Sector: Non-International NGO. (There is no official definition of an international NGO. But the term is widely used to describe an NGO in which at least part of the managerial control comes from an organization in another country nearly always a Western country. 4 We have used the term Non-International NGO simply to cover all NGOs that we have not categorized as being International.) Based on all this, the ten PR types discussed in this report are shown throughout as: CS / Private: FBO Government: MOF CS / Private: International NGO Government: MOH CS / Private: Non-International NGO Government: Other CS / Private: Other Multilateral: Other CS / Private: Private sector Multilateral: UNDP Aidspan s scoring system In order to develop a basis for comparing the performance of multiple grants, each of which has received several from the GF, Aidspan has assigned a to each rating, as follows: A rating Score of 100 B2 rating: Score of 30 B1 rating: Score of 60 C rating: Score of 0 Thus, Aidspan is not using its own judgment, from one grant to the next, regarding what should be given to a grant. Aidspan is simply taking the Global Fund s and is converting them, using a consistent and neutral system, into a that provides a basis for aggregation and comparison. Based on this scoring system, average s have been computed for all grants, PRs and countries. By definition, the highest possible average is 100, and the lowest possible average is zero. In cases where average s have been computed based on only a small number of, e.g. for individual grants or for PRs or countries that have only one grant, small differences between average s (e.g. between 66 and 68) should not be regarded as statistically significant. And of course, the GF s are not a perfect measure of grant effectiveness and progress, and thus, nor are Aidspan s s. Cooperative Housing Foundation, (CHF International) [Honduras], and Tata Institute of Social Sciences (TISS) [India]. 3 The six organizations categorized by the GF as Multilateral: Other are The International Federation of Red Cross and Red Crescent Societies, The International Organization for Migration (IOM), The Organismo Andino de Salud Convenio Hipólito Unanue, The Organization Of Eastern Caribbean States, UNICEF, and the United Nations Interim Administration in Kosovo. 4 In Tables 16 and 17 we list all the rated PRs that the GF defines as being NGO. Using our own judgment, we have divided them into International NGO in Table 16 and Non-International NGO in Table 17. An Aidspan Report 3 November 2008 Page 8

Section 2: Analysis Division of grants between the different types of PR As of 1 November, the Global Fund had approved 605 grants, with a total lifetime budget of $20 billion. The split of these grants between the various PR types is as follows: Table 1: Division of grants between the different types of PR 5 (The PR types are shown in alphabetical order) PR type Number of grants Number of grants as percentage of total Total lifetime budget Lifetime budget as percentage of total Average lifetime budget CS / Private: FBO 13 2% $722 m. 4% $56 m. CS / Private: International NGO 48 8% $2,420 m. 12% $50 m. CS / Private: Non-International NGO 48 8% $2,079 m. 10% $43 m. CS / Private: Other 5 1% $206 m. 1% $41 m. CS / Private: Private sector 15 2% $466 m. 2% $31 m. Government: MOF 40 7% $2,408 m. 12% $60 m. Government: MOH 226 37% $5,309 m. 26% $23 m. Government: Other 84 14% $3,873 m. 19% $46 m. Multilateral: Other 10 2% $133 m. 1% $13 m. Multilateral: UNDP 96 16% $1,823 m. 9% $19 m. Plus: PR not yet assigned 20 3% $920 m. 5% $46 m. Total: 605 100% $20,359 m. 100% $34 m. Findings: Ministries of Health serve as PR for the largest group of grants 37% by number, and 26% by dollar value. International NGOs and non-international NGOs each serve as PR for 48 grants, i.e. 8% of all grants. Ministries of Finance serve as PR for 7% of all grants, and 12% of total grant value. 5 Based on data downloaded on1 November 2008 from www.theglobalfund.org/en/files/grantsindetail_raw.xls. An Aidspan Report 3 November 2008 Page 9

Performance by type of PR Applying Aidspan s scoring system to grants that have been rated from November 2005 to October 2008 leads to the following results: Table 2: Average for each broad category of PR (2006-2008) PR broad category (The categories are shown in alphabetical order) Number of Average (out of 100) (out of 3 PR broad categories) Civil Society / Private sector (FBO, NGO, private sector, Other) 501 70 1 Government (MOF, MOH, Other) 1,092 67 2 Multilateral (UNDP, Other) 6 341 62 3 All PRs: 1,934 67 Finding: Civil Society and private sector PRs (average = 70) have performed, on average, better than Government PRs (average = 67), which in turn have performed better than Multilateral PRs (average = 62). However, the situation gets more complex when one divides PRs not just into these three broad categories, but into ten more narrowly-defined PR types, as in the next table. [Continued next page] 6 However, it should be noted that the main multilateral PR, UNDP, only gets involved as PR in countries that have many difficulties; so it would be hard for UNDP to perform as well, on average, as other PRs. The issue of UNDP is further analyzed in Table 18 in the Appendix. An Aidspan Report 3 November 2008 Page 10

Table 3: Average for each PR type (2006-2008) 7 PR type (The PR types are shown in alphabetical order) Number of Average (out of 100) (out of 10 PR types) CS / Private: FBO 31 62 8 CS / Private: International NGO 200 78 1 CS / Private: Non-International NGO 181 64 7 CS / Private: Other 8 66 5 CS / Private: Private sector 81 65 6 Government: MOF 81 56 10 Government: MOH 729 67 4 Government: Other 282 70 2 Multilateral: Other 43 69 3 Multilateral: UNDP 298 61 9 All PRs: 1,934 67 Findings: International NGOs (average = 78) have performed significantly better, on average, than has any other PR type (average s from 56 to 70). International NGOs (average = 78) have performed noticeably better than noninternational NGOs (average = 64). Non-international NGOs (average = 64) have performed slightly less well, on average, than have Ministries of Health (average = 67). Ministries of Finance (average = 56) have performed significantly less well as PR than have any other PR types. The second least well-performing PR type is UNDP. (However, UNDP is usually only asked to serve as PR in the most difficult countries.) 7 A detailed breakdown regarding International NGO and Non-International NGO PRs is provided in Tables 16 and 17 in the Appendix. An Aidspan Report 3 November 2008 Page 11

The situation changes yet again when one reviews performance over time: PR type No. of Table 4: Average for each PR type, by year 2006 8 2007 2008 9 Total Av. (out of 9) No. of Av. (out of 9) No. of Av. (out of 10) No. of Av. CS / Private: FBO 12 57 5 11 62 8 8 71 7 31 62 8 CS / Private: International NGO 72 72 1 64 80 1 64 81 1 200 78 1 CS / Private: Non- International NGO 60 50 9 58 64 6 63 77 2 181 64 7 CS / Private: Other 0 n/a n/a 0 n/a n/a 8 66 8 8 66 5 CS / Private: Private sector 33 57 6 31 68 5 17 76 4 81 65 6 Government: MOF 26 53 8 28 53 9 27 61 10 81 56 10 Government: MOH 262 62 3 254 69 4 213 72 6 729 67 4 Government: Other 90 63 2 90 70 3 102 75 5 282 70 2 Multilateral: Other 19 61 4 10 72 2 14 77 3 43 69 3 Multilateral: UNDP 120 56 7 88 62 7 90 65 9 298 61 9 All PRs: 694 60 634 68 606 73 1,934 67 (out of 10) Findings: Global Fund grants have, on average, shown distinct improvements in performance over the past three years. The average rating over all PRs was 60 in 2006, 68 in 2007, and 73 in 2008. 10 International NGOs were the best-performing PR type in all three years. Non-International NGOs moved from being the least well-performing PR type in 2006 to being the second best in 2008. All three government PR types (Ministries of Finance, Ministries of Health, and Government: Other) have improved over time in their, but not in their ranking compared with the other PR types. Ministries of Finance were the second least well-performing PR type in 2006, and the least well-performing in 2007 and 2008. UNDP was the third least well-performing PR type in 2006 and 2007, and the second least well-performing in 2008. 8 Includes last two months of 2005. 9 Excludes last two months of 2008. 10 Of course, such changes in average would also take place if the Fund was steadily lowering its standards. An Aidspan Report 3 November 2008 Page 12

Further findings, based on tables in the Appendix, include: The three best-performing international NGOs were Partners In Health, Open Health Institute, and the South African Medical Research Council. However, each of these administers only one or two Global Fund grants. 11 The three best-performing non-international NGOs were Association For Reproductive And Family Health (Nigeria), BRAC (Bangladesh Rural Advancement Committee), and Population Foundation of India. 12 Within the countries where UNDP serves as PR, UNDP has performed no better or worse than have other PRs, on average. Within those countries, the best-performing PR type has been international NGOs. 13 Performance by region and disease Applying Aidspan s scoring system produces the regional and disease-specific results shown in Tables 5 and 6. Region No. of Table 5: Average for each region, by year (The regions are shown in alphabetical order) 2006 14 2007 2008 15 Total Av. (out of 8) No. of Av. (out of 8) No. of Av. (out of 8) No. of Av. (out of 8) East Asia & the 118 57 6 94 72 3 83 74 4 295 67 4 Pacific Eastern Europe & 90 72 1 77 79 1 81 82 1 248 78 1 Central Asia Latin America & the 117 55 8 111 75 2 104 78 2 332 69 3 Caribbean North Africa & the 66 65 2 44 58 7 54 65 7 164 63 7 Middle East South Asia 49 64 3 42 69 4 60 75 3 151 70 2 Sub-Saharan 63 60 4 65 61 6 48 74 5 176 64 6 Africa: East Africa Sub-Saharan 59 56 7 72 58 8 50 65 8 181 59 8 Africa: Southern Africa Sub-Saharan 132 59 5 129 65 5 126 68 6 387 64 5 Africa: West & Central Africa All regions: 694 60 634 68 606 73 1,934 67 11 For details, see Table 16 in the Appendix. 12 For details, see Table 17 in the Appendix. 13 For details, see Table 18 in the Appendix. 14 Includes last two months of 2005. 15 Excludes last two months of 2008. An Aidspan Report 3 November 2008 Page 13

Findings: Grants in the Eastern Europe & Central Asia region performed significantly better, on average, than grants in any other region. The Sub-Saharan Africa: Southern Africa region was the second least wellperforming region in 2006, and the least well-performing in 2007 and 2008. The Latin America & the Caribbean region improved from being the least wellperforming region in 2006 to being the second-best-performing in 2007 and 2008. Disease No. of Table 6: Average for each disease, by year (The diseases are shown in alphabetical order) 2006 16 2007 2008 17 Total Av. (out of 3) No. of Av. (out of 3) No. of Av. (out of 3) No. of Av. (out of 3) HIV/AIDS 340 61 2 299 69 2 283 74 2 922 68 2 Malaria 180 56 3 166 66 3 142 67 3 488 63 3 TB 174 64 1 169 69 1 181 75 1 524 69 1 All diseases: 694 60 634 68 606 73 1,934 67 Findings: In each of the three years, TB grants performed best, HIV/AIDS grants performed second best, and malaria grants performed least well. However, the margins were not always significant. [Continued next page] 16 Includes last two months of 2005. 17 Excludes last two months of 2008. An Aidspan Report 3 November 2008 Page 14

Performance by country and PR In Table 7 we list, in alphabetical order, all countries that have received GF grants that have been rated. For each country, we show the country s average. We also show how that country was ranked, based on its average, in comparison with the other countries. Countries whose grants have been assigned fewer than four are not d and therefore not ranked. Table 7: Average for each country (2006-2008) 18 Country (The countries are shown in alphabetical order) Average (out of 100) (out of 114 countries) Afghanistan 45 103 Albania 84 13 Algeria 30 112 Angola 44 104 Argentina 56 86 Armenia 87 8 Azerbaijan 74 39 Bangladesh 78 29 Belarus 81 22 Belize 47 101 Benin 69 47 Bhutan 93 3 Bolivia 35 107 Bosnia and Herzegovina 65 63 Botswana Not ranked Brazil 62 68 Bulgaria 100 1 Burkina Faso 59 77 Burundi 66 58 Cambodia 64 64 Cameroon 67 54 Central African Republic 56 83 Chad 48 100 Chile 56 87 China 77 31 Colombia 74 40 Comoros 63 66 Congo (Democratic Republic of the) 48 99 Congo (Republic of the) 35 109 Costa Rica 76 35 Cote d'ivoire 59 78 Croatia Not ranked Cuba 80 24 Djibouti 71 46 18 A more detailed version of this table is provided in Table 11, in the Appendix. And an even more detailed version, showing also the performance of each PR within each country, is shown in Table 13. An Aidspan Report 3 November 2008 Page 15

Average Country (out of 100) (out of 114 countries) Dominican Republic 75 37 Ecuador 59 76 Egypt 61 73 El Salvador 89 6 Equatorial Guinea 46 102 Eritrea 60 74 Estonia 76 36 Ethiopia 55 88 Gabon 53 92 Gambia 79 28 Georgia 86 10 Ghana 86 9 Global(LWF) Not ranked Guatemala 76 33 Guinea 51 95 Guinea-Bissau 38 106 Guyana 77 32 Haiti 66 57 Honduras 85 12 India 81 20 Indonesia 55 89 Iran (Islamic Republic of) 51 97 Iraq No Not ranked Jamaica 89 7 Jordan 82 19 Kazakhstan 69 50 Kenya 34 110 Kosovo (Serbia) 73 42 Kyrgyzstan 81 21 Lao PDR 65 60 Lesotho 61 72 Liberia 56 84 Macedonia, FYR 82 17 Madagascar 71 45 Malawi 52 93 Maldives No Not ranked Mali 67 56 Mauritania 69 49 Moldova 82 18 Mongolia 89 5 Montenegro 84 14 Morocco 80 25 Mozambique 40 105 Multi-country Africa (West Africa Corridor Program) Not ranked Multi-country Africa (RMCC) 94 2 Multi-country Americas (Andean) 64 65 Multi-country Americas (CARICOM) 54 91 Multi-country Americas (CRN+) 52 94 An Aidspan Report 3 November 2008 Page 16

Average Country (out of 100) (out of 114 countries) Multi-country Americas (Meso) Not ranked Multi-country Americas (OECS) 60 75 Multi-country Americas (REDCA+) No Not ranked Multi-country Western Pacific 66 59 Myanmar No Not ranked Namibia 72 43 Nepal 62 67 Nicaragua 67 55 Niger 58 80 Nigeria 58 79 Pakistan 61 70 Panama Not ranked Papua New Guinea 27 113 Paraguay 80 23 Peru 68 52 Philippines 68 51 Romania 65 62 Russian Federation 83 15 Rwanda 92 4 Sao Tome and Principe 74 38 Senegal 79 27 Serbia 82 16 Sierra Leone 68 53 Somalia 78 30 South Africa 61 71 Sri Lanka 58 81 Sudan 56 82 Suriname 76 34 Swaziland 54 90 Syrian Arab Republic Not ranked Tajikistan 85 11 Tanzania 69 48 Thailand 65 61 Timor-Leste 24 114 Togo 50 98 Tunisia Not ranked Turkey 30 111 Uganda 35 108 Ukraine 56 85 Uzbekistan 72 44 Viet Nam 73 41 Yemen 51 96 Zambia 61 69 Zanzibar (Tanzania) 80 26 Zimbabwe Not ranked An Aidspan Report 3 November 2008 Page 17

Arising from the above, the ten highest-ranked countries and the ten lowest-ranked countries were as follows: Table 8: Highest and lowest ranked countries (2006-2008) 19 (The countries are shown in order of their rank) Country (out of 114 countries) Highest-ranking countries: Bulgaria 1 Multi-country Africa (RMCC) 2 Bhutan 3 Rwanda 4 Mongolia 5 El Salvador 6 Jamaica 7 Armenia 8 Ghana 9 Georgia 10 Lowest-ranking countries: Mozambique 105 Guinea-Bissau 106 Bolivia 107 Uganda 108 Congo (Republic of the) 109 Kenya 110 Turkey 111 Algeria 112 Papua New Guinea 113 Timor-Leste 114 In Table 13 in the Appendix we provide an extensive analysis of the performance of individual PRs. Some PRs have administered just one grant; others have administered many. We compute each PR s average based on all for all grants in each country administered by that PR. 19 A more detailed version of this table is provided in Table 12, in the Appendix. An Aidspan Report 3 November 2008 Page 18

Based on this, the ten highest-ranked PRs and the ten lowest-ranked PRs were as follows: Table 9: Highest and lowest ranked PRs (2006-2008) 20 (The countries are shown in order of their rank) Country PR (out of 164 PRs) Highest-ranking PRs: El Salvador Ministry of Health 1 Russian Federation Partners In Health 2 Russian Federation Open Health Institute 3 Armenia World Vision International Armenia Branch 4 Bulgaria Ministry of Health 5 Nigeria Association For Reproductive And Family Health 6 Nepal Population Services International 7 Multi-country The South African Medical Africa (RMCC) Research Council 8 South Africa Provincial Health Department of the Western Cape 9 Bhutan Gross National Happiness (GNH) Commission, Gov t of Bhutan 10 Lowest-ranking PRs: Uganda Ministry of Finance, Planning and Economic Development 155 Secretariat Executif du Conseil Congo (Republic of National de Lutte Contre le Sida the) (CNLS) 156 Kenya Ministry of Finance 157 Nigeria The Yakubu Gowon Center for National Unity and International 158 Cooperation South Africa National Department of Health 159 Turkey Ministry of Health 160 Algeria Ministry of Health, Population and Hospital Reform 161 Papua New Guinea Department of Health 162 Timor-Leste Ministry of Health 163 Bolivia Centro de Investigación, Educación y Servicios 164 20 This is based on an extensive analysis of individual PRs in Tables 13 and 14, in the Appendix. An Aidspan Report 3 November 2008 Page 19

The following table shows all grants where at least the five most recent have all been A. Table 10: Grants that have recently done well 21 (The grants are shown in alphabetical order of their country) Grant Country Round Disease PR ARM-202-G01-H Armenia 2 HIV/AIDS World Vision BAN-304-G02-T Bangladesh 3 TB BRAC (Bangladesh Rural Advancement Committee) BLR-304-G01-H Belarus 3 HIV/AIDS UNDP BUL-202-G01-H Bulgaria 2 HIV/AIDS Ministry of Health CHN-102-G01-T China 1 TB The Chinese Centre for Disease Control and Prevention CHN-304-G03-H China 3 The Chinese Centre for Disease HIV/AIDS Control and Prevention CHN-506-G06-H China 5 The Chinese Centre for Disease HIV/AIDS Control and Prevention SLV-202-G03-H El Salvador 2 HIV/AIDS Ministry of Health GMB-304-G02-M Gambia 3 Malaria Ministry of Health GEO-202-G01-H Georgia 2 The Georgia Health and Social HIV/AIDS Projects Implementation Center GEO-405-G03-T Georgia 4 TB The Georgia Health and Social Projects Implementation Center GHN-202-G03-M Ghana 2 Malaria Ministry of Health GHN-405-G04-M Ghana 4 Malaria Ministry of Health HTI-102-G01-H Haiti 1 HIV/AIDS Fondation SOGEBANK HND-102-G01-H Honduras 1 HIV/AIDS UNDP IDA-405-G08-T India 4 TB The Department of Economic Affairs of the Government of India MON-202-G02-H Mongolia 2 HIV/AIDS Ministry of Health MAF-202-G01-M Multi-country The South African Medical Research 2 Malaria Africa (RMCC) Council NGA-506-G09-H Nigeria 5 Association For Reproductive And HIV/AIDS Family Health (ARFH) RUS-304-G01-H Russian Federation 3 HIV/AIDS The Open Health Institute RUS-304-G02-T Russian Federation 3 TB Partners In Health STP-405-G01-M Sao Tome and Principe 4 Malaria UNDP SER-304-G02-T Serbia 3 TB Ministry of Health SAF-304-G04-H South Africa 3 The Provincial Health Department of HIV/AIDS the Western Cape, South Africa SUR-404-G02-M Suriname 4 Malaria Medische Zending TAJ-506-G04-M Tajikistan 5 Malaria UNDP VTN-304-G03-M Viet Nam 3 Malaria Ministry of Health 21 This is based on Table 15, in the Appendix. An Aidspan Report 3 November 2008 Page 20

Finding: Of the 27 grants where at least the five most recent have all been A, 9 had Ministry of Health PRs, 6 had Government: Other PRs, 5 had international NGO PRs, 4 had UNDP PRs, 2 had non-international NGO PRs, 1 had a private sector PR, and none had a PR that was FBO, CS / Private: Other, Government: MOF, or Multilateral: Other. An Aidspan Report 3 November 2008 Page 21

Appendix: Additional details In this appendix, we provide more detailed versions of many of the tables in the main text. In most cases, we include information on the specific grants and grant that led to the average s cited. Additional data regarding performance by each country and PR In the following table, we list all countries that have received GF grants that have been rated. For each country, we show each grant and its, the country s average, and how that country was therefore ranked, based on its average, in comparison with the other countries. Thus, using the first row as an example, Afghanistan s grant of B1, B1, B2, B1, B1, B2, B2 and B2 across three grants give it an average of 45, which means that that country was ranked 103 rd out of the 114 countries that were ranked. Countries whose grants have been assigned fewer than four are not d and therefore not ranked. Notes: 1. The first digit after the first - in each grant number shows the Round number. 2. The last character in the grant number shows H, M or T for HIV/AIDS, Malaria, and TB grants respectively. It shows I, C or S for various forms of mixed grant. 3. For further details (excluding ) regarding each grant, look up the country and then the grant number at www.aidspan.org/grants or www.theglobalfund.org/programs/search.aspx. Country Table 11: Average for each country, with rating details (2006-2008) 22 Number of Average (out of 100) (The countries are shown in alphabetical order) (out of 114 countries) Afghanistan 8 45 103 Albania 5 84 13 Grants and (Unrated grants are not shown) Grant AFG-202-G01-I: B1, Grant AFG-405-G02-T: B2, B1, Grant AFG-506-G03-M: B2, B2, B2. Grant ALB-506-G01-H: B1, A, A. Grant ALB-506-G02-T: B1, A. Algeria 4 30 112 Grant DZA-304-G01-H: B2, B2, B2, B2. Angola 19 44 104 Grant AGO-305-G01-M: B2, B2, B2, B2, B2, B2, B2, Grant AGO-405-G02-T: B1, B1, B1, B2, Grant AGO- 405-G03-H: B2, B2, B1, B1, B1, Argentina 8 56 86 Grant ARG-102-G02-H: B2, B1, B1, B1, B1, B1, B1, Armenia 9 87 8 Azerbaijan 12 74 39 Grant ARM-202-G01-H: A, A, A, A, A, A. Grant ARM-506- G02-T: B1, B1, Grant AZE-405-G01-H: B2, B1, B1, B1, B1, B1, A. Grant AZE-506-G02-T: A, B1, A, A, A. 22 A summary version of this table was presented in Table 7, above. An Aidspan Report 3 November 2008 Page 22

Country Number of Average (out of 100) (out of 114 countries) Bangladesh 25 78 29 Belarus 10 81 22 Belize 9 47 101 Benin 23 69 47 Bhutan 6 93 3 Bolivia 13 35 107 Bosnia and Herzegovina Botswana 3 4 65 63 Fewer than 4 Brazil 6 62 68 Grants and (Unrated grants are not shown) Grant BAN-202-G01-H: A, B1, A, A. Grant BAN-304-G02- T: A, A, A, A, A. Grant BAN-304-G03-T: B1, A, A, B1, Grant BAN-506-G04-T: B1, A, A, A. Grant BAN-506-G05- T: B2, B2, B2. Grant BAN-607-G06-M: B1, A. Grant BAN-607-G07-M: B2. Grant BAN-607-G08-H: Grant BLR-304-G01-H: B1, B1, B1, A, A, A, A, A, A. Grant BLR-607-G02-T: B2. Grant BEL-304-G01-H: B2, B1, B2, B2, B1, B1, B1, B2, Grant BEN-102-G01-M: Grant BEN-202-G02-T: B1, B1, A. Grant BEN-202-G03-H: B1, Grant BEN-304- G04-M: B1, B1, B1, B1, B1, B1, B1, A, A. Grant BEN- 506-G05-H: B1, B1, B1, Grant BEN-607-G06-T: B1, A, A, Grant BTN-405-G01-M: A, A, Grant BTN-405-G02-T: A, A, A. Grant BOL-304-G01-H: C, C. Grant BOL-304-G02-M: C, C, C. Grant BOL-304-G03-T: B2. Grant BOL-306-G05- M: B1, Grant BOL-306-G06-T: B1, B1, Grant BOL-307-G07-H: B1, Grant BIH-506-G01-H: B2, A, A. Grant BIH-607-G02-T: B2. Not ranked Grant BOT-506-G02-T: B1, B1, A. Grant BRA-506-G01-T: B1, B1, A. Grant BRA-506-G02- T: B2, B1, Bulgaria 6 100 1 Grant BUL-202-G01-H: A, A, A, A, A, A. Burkina Faso 16 59 77 Burundi 15 66 58 Cambodia 41 64 64 Cameroon 32 67 54 Central African Republic 18 56 83 Chad 9 48 100 Grant BUR-202-G02-H: B1, B1, Grant BUR-202-G04- H: B2, B2, B2, Grant BUR-404-G03-T: B1, B1, Grant BUR-407-G05-T: B1, B1, B1, A, A. Grant BUR- 607-G06-H: Grant BRN-102-G01-H: Grant BRN-202-G02-M: Grant BRN-202-G05-M: B1, B1, B1, B1, A. Grant BRN- 405-G03-T: B2, B1, B1, B1, A. Grant BRN-506-G04-H: B1, B1, A. Grant CAM-102-G01-H: B1, Grant CAM-202-G02-H: B1, B1, B1, B1, A, B1, Grant CAM-202-G03-M: B1, B1, B1, A, B1, Grant CAM-202-G04-T: B1, B1, A, A, A, A. Grant CAM-405-G05-H: B2, B1, A, B1, Grant CAM-405-G06-M: B2, B2, B1, B1, B1, Grant CAM- 506-G07-H: B1, B1, Grant CAM-506-G08-S: B1, B2, Grant CAM-506-G09-T: B1, B1, Grant CMR-304-G01-H: B2, B1, B1, B1, B1, A, Grant CMR-304-G02-M: B2, B1, B1, B2, B1, B1, B1, B1, Grant CMR-304-G03-T: B1, A, B1, A, A, A. Grant CMR- 404-G04-H: A, A, B1, B1, A. Grant CMR-506-G05-H: B1, B1, A. Grant CMR-506-G06-M: B2, B2. Grant CAF-202-G01-H: A, B1, B1, B1, B1, Grant CAF-404-G02-H: B1, B1, B1, Grant CAF-404-G03-T: B2, B1, B1, B1, Grant CAF-405-G04-M: B2, B2, B2. Grant TCD-202-G01-T: B1, B1, B1, C. Grant TCD-304- G02-H: A, B1, B2, B2, B2. Chile 5 56 87 Grant CHL-102-G01-H: B1, B2, B2, B1, A. China 52 77 31 Grant CHN-102-G01-T: B1, B1, B1, B1, A, A, A, A, A. Grant CHN-102-G02-M: B1, B1, B1, B1, A, A. Grant CHN-304-G03-H: A, A, A, A, A, A. Grant CHN-405-G04- T: B1, B1, B1, A, B1, A, A, A. Grant CHN-405-G05-H: B1, B1, B1, B1, B1, B1, B1, A. Grant CHN-506-G06-H: A, A, A, A, A. Grant CHN-506-G07-M: B1, B1, Grant CHN- 506-G08-T: B2, B2, B2. Grant CHN-607-G09-M: B1, Grant CHN-607-G10-H: B1, A. Colombia 9 74 40 Grant COL-202-G01-H: B2, B1, B1, B1, B1, A, A, A, A. An Aidspan Report 3 November 2008 Page 23

Country Number of Average (out of 100) (out of 114 countries) Comoros 10 63 66 Congo (Democratic Republic of the) Congo (Republic of the) 24 48 99 Grants and (Unrated grants are not shown) Grant COM-202-G01-M: B2, B2, B1, B1, A. Grant COM- 304-G02-H: B2, B1, B1, A, A. Grant ZAR-202-G01-T: B1, Grant ZAR-304-G02-H: B2, B2, B2, B1, B1, B1, B1, B1, A. Grant ZAR-304-G03- M: B2, B2, B2, B2, B2, B1, B1, B2. Grant ZAR-506-G04- T: B1, B1, B1, B2. Grant ZAR-607-G05-T: B2. 6 35 109 Grant COG-506-G01-H: B2, B2, B2, B2, B2, Costa Rica 8 76 35 Grant COR-202-G02-H: B1, B2, B1, B1, A, A, A, A. Cote d'ivoire 14 59 78 Grant CIV-202-G01-H: B2. Grant CIV-202-G05-H: B1, Grant CIV-304-G02-H: A. Grant CIV-304-G03-T: B1, B1, B1, B1, Grant CIV-506-G04-H: B1, B2, B1, B1, Croatia 3 Fewer than 4 Not ranked Grant HRV-202-G01-H: B1, A, A. Cuba 10 80 24 Grant CUB-202-G01-H: A, A, B1, B1, A, A, B1, B1, B1, A. Djibouti 17 71 46 Dominican Republic 19 75 37 Ecuador 29 59 76 Egypt 8 61 73 El Salvador 18 89 6 Equatorial Guinea 11 46 102 Eritrea 9 60 74 Estonia 5 76 36 Ethiopia 19 55 88 Gabon 15 53 92 Gambia 24 79 28 Georgia 16 86 10 Ghana 47 86 9 Global(LWF) 2 Fewer than 4 Grant DJB-404-G01-H: B1, B1, A, A, B1, B1, B1, B1, A, A. Grant DJB-607-G02-M: B1, B1, B2. Grant DJB-607-G03- T: A, A, Grant DJB-607-G04-H: B2. Grant DMR-202-G01-H: B1, B1, A, A, A, B1, B1, B1, A, A, A, A. Grant DMR-304-G02-T: B2, B1, B1, B1, B1, B1, A. Grant ECU-202-G01-H: B2, B2, B2, B2, B2, B1, B1, A, B1, B1, B1, Grant ECU-202-G03-H: B2, A, B1, B1, B1, B1, B1, A. Grant ECU-405-G02-T: B1, B1, B1, B1, A, B1, B1, B1, Grant EGY-202-G01-T: B2, B1, B1, B1, B1, Grant EGY-607-G02-T: A, Grant SLV-202-G01-H: B1, B1, B1, A, B1, B1, A, A. Grant SLV-202-G02-T: A. Grant SLV-202-G03-H: A, A, A, A, A. Grant SLV-202-G04-T: A, A, A, A. Grant GNQ-405-G01-H: B2, B1, B2, B2, Grant GNQ- 506-G02-M: B1, B1, B1, B2, B1, B2. Grant ERT-202-G01-M: B1, B1, B1, Grant ERT-304- G02-H: B1, B1, B1, Grant ERT-607-G05-M: Grant EST-202-G01-H: Grant EST-202-G01-H: B1, B1, A, A. Grant ETH-102-G01-T: B2, B2, B2, Grant ETH-202- G02-M: B1, Grant ETH-202-G03-H: B1, B1, B1, Grant ETH-405-G04-H: B1, B1, B1, B1, Grant ETH- 506-G05-M: B1, B1, B1, Grant GAB-304-G01-H: B2, B1, B1, B1, A. Grant GAB- 404-G02-M: B2, B2, B1, B2, Grant GAB-506-G03-M: B1, B1, B1, B2, Grant GMB-304-G01-H: B1, B1, B1, B1, B1, B1, B1, A. Grant GMB-304-G02-M: B1, A, A, A, A, A, A, A. Grant GMB-506-G03-T: A, B1, A, A, A. Grant GMB-607-G04-M: B2, B1, Grant GEO-202-G01-H: B1, B1, A, A, A, A, A. Grant GEO-304-G02-M: A. Grant GEO-405-G03-T: B1, A, A, A, A, A. Grant GEO-607-G04-M: Grant GEO-607-G05- T: B2. Grant GHN-102-G01-H: B1, B1, B2, B1, B1, A. Grant GHN-102-G02-T: A, A, B1, B1, B1, A, A, A. Grant GHN- 202-G03-M: A, B1, A, A, A, A, A, A, A, A. Grant GHN- 405-G04-M: B1, B1, A, A, A, A, A, A, A, A, A, A. Grant GHN-506-G05-T: A, B1, B1, A, A, A. Grant GHN-506- G06-H: B1, B1, A, B1, A. Not ranked Grant WRL-102-G01-H: A, A. An Aidspan Report 3 November 2008 Page 24

Country Number of Average (out of 100) (out of 114 countries) Guatemala 21 76 33 Guinea 17 51 95 Guinea- Bissau 18 38 106 Guyana 12 77 32 Haiti 34 66 57 Honduras 19 85 12 India 46 81 20 Indonesia 19 55 89 Grants and (Unrated grants are not shown) Grant GUA-304-G01-H: B2, B1, B1, B1, A, A, A, A, B1, A, A. Grant GUA-405-G02-M: B1, B1, B1, B1, B1, A, A, B1, B1, A. Grant GIN-202-G01-H: B2, B2, B2, B1, B1, B1, B1, Grant GIN-202-G02-M: B2. Grant GIN-506-G03-T: B2, B1, B1, B1, B1, B1, B1, Grant GNB-304-G01-T: B2, B2, B2, B2, B1, Grant GNB-404-G02-H: B2, B2, B1, B2, B1, Grant GNB- 404-G03-M: B2, B2, B2, Grant GNB-607-G04-M: C, B2. Grant GYA-304-G01-H: B1, B1, A, A, A, A. Grant GYA- 304-G02-M: A, B1, Grant GYA-405-G03-T: B1, B1, Grant HTI-102-G01-H: B1, B1, B1, B1, A, A, A, A, A, A, A. Grant HTI-304-G03-M: B1, B1, B2, B1, B1, B1, B1, B1, Grant HTI-304-G04-T: B1, B2, B1, B1, B1, B1, B1, B1, Grant HTI-506-G05-H: B2, B2, B1, B1, A. Grant HND-102-G01-H: B1, A, A, A, A, A. Grant HND- 102-G02-T: A, B1, B1, A, Grant HND-102-G03-M: A, B1, B1, A, A, A. Grant HND-102-G04-H: A. Grant HND- 102-G05-M: Grant IDA-102-G01-T: A. Grant IDA-202-G02-H: B1, B1, B1, A, A, A. Grant IDA-202-G03-T: B1, B1, B1, B1, B1, A. Grant IDA-304-G04-C: B1, B1, A. Grant IDA-405-G05-H: B1, B1, A, B1, B1, A, A, A, A. Grant IDA-405-G06-H: B1, A, A. Grant IDA-405-G07-M: B1, B1, Grant IDA-405- G08-T: B1, B1, A, A, A, A, A, A. Grant IDA-607-G09-T: B1, B1, A. Grant IDA-607-G10-H: A, A. Grant IDA-607- G12-H: A, A. Grant IND-102-G01-T: B1, A, B1, B1, Grant IND-102- G02-M: B1, B1, B1, B1, Grant IND-102-G03-H: B2, B2, B2. Grant IND-405-G04-H: B2, B2, B1, B1, B2. Grant IND-607-G06-M: A. Iran (Islamic Republic of) 7 51 97 Grant IRN-202-G01-H: B2, B2, B1, B1, B1, B1, Iraq 0 n/a Not ranked No Jamaica 7 89 7 Grant JAM-304-G01-H: B1, A, B1, A, A, A, A. Jordan 6 82 19 Kazakhstan 9 69 50 Kenya 7 34 110 Kosovo (Serbia) 6 73 42 Kyrgyzstan 14 81 21 Lao PDR 41 65 60 Lesotho 14 61 72 Liberia 18 56 84 Macedonia, FYR 11 82 17 Grant JOR-202-G01-H: A, A. Grant JOR-506-G02-T: A, B1, A. Grant JOR-607-G03-H: B2. Grant KAZ-202-G01-H: B1, B1, A, B1, B1, B1, A. Grant KAZ-607-G02-T: B1, Grant KEN-202-G03-H: B2, B2, B2. Grant KEN-202-G04- T: B2. Grant KEN-405-G06-M: B2, B1, B2. Grant KOS-405-G01-T: B1, B1, B1, B1, A. Grant KOS- 405-G01-T: A. Grant KGZ-202-G01-H: B1, B1, B1, A, A. Grant KGZ- 202-G02-T: B1, A, B2, A. Grant KGZ-506-G03-M: B1, A, A, A. Grant KGZ-607-G04-T: A. Grant LAO-102-G01-H: B1, B1, B1, B1, B1, B1, A, A. Grant LAO-102-G02-M: B1, B1, B1, B1, B1, Grant LAO-202-G03-T: B1, B1, B1, B1, B1, B1, A. Grant LAO- 405-G04-H: B1, B1, B1, B1, B1, A. Grant LAO-405-G05- M: B1, B1, B1, B1, Grant LAO-405-G06-T: B1, B1, B1, B1, B1, B1, A. Grant LAO-607-G07-M: Grant LAO-607-G08-H: Grant LSO-202-G01-H: B2, B1, B1, B1, B1, Grant LSO-202-G02-T: B2, B1, Grant LSO-506-G03-H: A, B1, B1, A. Grant LSO-607-G04-T: Grant LBR-202-G01-H: B2, B1, B2, B2. Grant LBR-202- G02-T: B2, B1, B2, B2, Grant LBR-304-G03-M: B2, B1, B1, B2, Grant LBR-607-G04-H: A, A, A, A. Grant MKD-304-G01-H: B1, B1, B1, A, A, A, A. Grant MKD-506-G02-T: B1, B1, A. Grant MKD-506-G02-T: A. An Aidspan Report 3 November 2008 Page 25

Country Number of Average (out of 100) (out of 114 countries) Madagascar 35 71 45 Malawi 14 52 93 Maldives 0 n/a Not ranked No Mali 20 67 56 Mauritania 10 69 49 Moldova 9 82 18 Mongolia 19 89 5 Montenegro 5 84 14 Morocco 7 80 25 Mozambique 15 40 105 Multi-country Africa (West Africa Corridor Program) Multi-country Africa (RMCC) Multi-country Americas (Andean) Multi-country Americas (CARICOM) Multi-country Americas (CRN+) Multi-country Americas (Meso) Multi-country Americas (OECS) Multi-country Americas (REDCA+) Multi-country Western Pacific 1 Fewer than 4 7 94 2 9 64 65 Grants and (Unrated grants are not shown) Grant MDG-202-G02-H: B1, B2, B1, B1, Grant MDG- 202-G03-H: A. Grant MDG-304-G04-H: B1, B1, B1, A. Grant MDG-304-G05-M: B1, B1, A, A, A. Grant MDG- 404-G08-T: B1, B2, B1, B1, B1, B1, B1, A. Grant MDG- 405-G06-M: B2, B1, B1, A, A. Grant MDG-405-G07-M: A, A, B1, B1, B1, A, A. Grant MLW-102-G01-H: A, B1, B1, B1, B1, B1, B1, B1, B2. Grant MLW-202-G02-M: Grant MLW-506-G03- H: B2, B2. Grant MLW-506-G04-S: B2, B2. Grant MAL-102-G01-M: B1, B1, B1, Grant MAL-405- G02-H: B2, B2, A, A, B1, B1, B1, A. Grant MAL-405-G03- T: A, B1, B1, B1, B1, B1, B1, A. Grant MRT-202-G01-T: B1, A, Grant MRT-202-G02- M: B1, A, B1, Grant MRT-506-G03-H: B1, B2. Grant MRT-607-G04-M: A. Grant MOL-102-G01-C: B1, B1, B1, B1, A, A, A. Grant MOL-607-G02-T: A. Grant MOL-607-G03-H: A. Grant MON-102-G01-T: B1, A, A, A, A. Grant MON-202- G02-H: A, A, A, A, A, A. Grant MON-405-G03-T: B1, B1, A, A, A. Grant MON-506-G04-H: B1, A, Grant MNT-506-G01-H: A, A, A. Grant MNT-607-G02-T: B1, Grant MOR-102-G01-H: A, A, A. Grant MOR-607-G02-H: A, A. Grant MOR-607-G03-T: B2, B2. Grant MOZ-202-G01-H: B2, B2. Grant MOZ-202-G02-H: B1, B2, B2, B2, Grant MOZ-202-G03-M: B1, B2, B2, B2. Grant MOZ-202-G04-T: B2, Grant MOZ-607- G05-H: Grant MOZ-607-G06-M: B2. Not ranked Grant MAW-607-G01-H: B2. Grant MAF-202-G01-M: A, A, A, A, A. Grant MAF-506- G02-M: B1, A. Grant MAA-305-G01-M: B1, B1, A, B1, B1, B1, B1, B1, 8 54 91 Grant MAC-304-G01-H: B2, B2, B2, B1, A, B1, B1, 6 52 94 Grant MAN-405-G01-H: B1, B2, B2, B2, B1, A. 3 Fewer than 4 Not ranked Grant MAM-405-G01-H: B2, B1, A. 6 60 75 Grant MAE-305-G01-H: B1, B1, B1, B1, B1, 0 n/a Not ranked No 15 66 59 Grant MWP-202-G01-H: B1, B2, B1, B1, Grant MWP- 202-G02-M: B1, B1, A. Grant MWP-202-G03-T: B1, B1, A, B1, Grant MWP-506-G04-M: A. Grant MWP-507- G05-M: An Aidspan Report 3 November 2008 Page 26

Country Number of Average (out of 100) (out of 114 countries) Myanmar 0 n/a Not ranked No Namibia 25 72 43 Nepal 27 62 67 Nicaragua 23 67 55 Niger 22 58 80 Nigeria 42 58 79 Pakistan 19 61 70 Panama 1 Papua New Guinea Fewer than 4 11 27 113 Paraguay 12 80 23 Peru 23 68 52 Philippines 33 68 51 Romania 11 65 62 Russian Federation 40 83 15 Rwanda 21 92 4 Sao Tome and Principe 17 74 38 Senegal 27 79 27 Grants and (Unrated grants are not shown) Grant NMB-202-G01-H: A, A, A, A, B1, B1, Grant NMB-202-G02-T: B2, B1, B1, B1, A, A. Grant NMB-202- G03-M: B1, B1, B1, B1, B1, A. Grant NMB-506-G04-T: B1, B1, B1, B1, A. Grant NMB-607-G06-M: Grant NEP-202-G01-H: B2, B2, B1, B1, B1, B1, Grant NEP-202-G02-M: B2, B2, B2, B1, Grant NEP- 202-G04-M: A, A, A, A. Grant NEP-202-G05-H: B1, B1, A. Grant NEP-405-G03-T: B1, B1, B1, B1, B1, B1, B1, Grant NIC-202-G01-M: B1, B1, B1, B1, B1, A, A, Grant NIC-202-G02-T: B1, B1, B1, B1, B1, B1, A, Grant NIC-202-G03-H: B1, B1, B1, B1, B1, B1, A. Grant NGR-304-G01-H: B1, B1, B2, B1, Grant NGR- 304-G02-M: B2, B2, Grant NGR-306-G06-M: Grant NGR-405-G03-M: A, B1, B1, Grant NGR-506- G04-M: B2, B1, B1, B1, A. Grant NGR-506-G05-T: B1, B1, B1, Grant NGA-102-G01-H: Grant NGA-102-G03-H: B2. Grant NGA-202-G04-M: B2, B2, B2, B2, B2. Grant NGA- 404-G05-M: B2, B2, B2, B2, B2, B2, B2, B2, B2, B2, Grant NGA-407-G10-M: C, B2. Grant NGA-506-G06-T: B2, B2, B1, B2, B1, Grant NGA-506-G07-H: A, B1, B1, A, A, A. Grant NGA-506-G08-H: A, A, A, A. Grant NGA-506-G09-H: A, A, A, A, A, A. Grant PKS-202-G01-H: B1, B1, B1, B1, Grant PKS- 202-G02-M: B2, B2. Grant PKS-202-G03-T: B1, B1, B1, B1, A. Grant PKS-304-G04-M: Grant PKS-304-G05- T: B1, B1, B1, B1, A. Grant PKS-607-G06-T: Not ranked Grant PAN-102-G01-T: Grant PNG-304-G01-M: B2, B2, B2, C, C. Grant PNG- 405-G02-H: B2, B2, B2, B2, B2. Grant PNG-607-G03-T: Grant PRY-304-G01-T: B1, B1, B1, A, A, B1, A, A. Grant PRY-607-G02-H: B1, B1, A, A. Grant PER-202-G01-H: B1, B1, B1, B1, B1, A, Grant PER-202-G02-T: B1, B1, B1, A, A, A. Grant PER-506- G03-H: B1, B1, A, A. Grant PER-506-G04-T: B2, B2, B1, B1, A. Grant PER-607-G05-H: B2. Grant PHL-202-G01-M: B1, B1, B1, B1, B1, B1, Grant PHL-202-G02-T: B1, B1, A, B1, B1, B1, B1, A. Grant PHL-304-G03-H: B1, B1, B1, B1, B1, B1, B1, A. Grant PHL-506-G04-H: B1, A, A. Grant PHL-506-G05-M: B1, A, A. Grant PHL-506-G06-T: B1, B1, Grant PHL- 607-G08-H: Grant ROM-202-G01-H: A, B1, B1, A, Grant ROM- 202-G02-T: B1, B2, B1, B1, Grant ROM-607-G03-H: Grant RUS-304-G01-H: A, A, A, A, A, A, A. Grant RUS- 304-G02-T: A, A, A, A, A, A, A, A. Grant RUS-405-G03- H: A, B1, B1, B1, B1, B1, B1, A. Grant RUS-405-G04-T: B1, B1, B1, B1, A, A, A, A, Grant RUS-506-G05-H: B2, B2, B1, B1, B1, A, A, A. Grant RWN-102-G01-C: A. Grant RWN-304-G02-H: A, A, A, A. Grant RWN-304-G03-M: B1, A, A, A. Grant RWN- 404-G04-T: A, A, A, A. Grant RWN-505-G05-S: A, A, B1, A. Grant RWN-506-G06-M: A, Grant RWN-606-G07- T: Grant RWN-607-G08-H: A. Grant STP-405-G01-M: B1, B1, B1, B1, B1, B1, A, A, A, A, A. Grant STP-506-G02-H: B1, B1, B1, B1, B1, A. Grant SNG-102-G01-H: A, B1, B1, A, B1, A, A, Grant SNG-102-G04-H: B1, B1, A, A, A. Grant SNG-405-G03- M: B1, B1, A, A, A, B1, B1, Grant SNG-607-G05-H: B1, B1, A. Grant SNG-607-G06-H: B1, A, A. An Aidspan Report 3 November 2008 Page 27